Individual provider Active NPI

Sandra Marina Tomczyk, PA-C

  • Medical Physician Assistant
  • Washington, DC
National Provider Identifier
1932475118
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
110 Irving St NW
Suite NA 1177
Washington, DC 20010-3017
Phone
(202) 877-4848
NPI assigned
Apr 1, 2012
Last updated
Apr 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

110 Irving St NW
Suite NA 1177
Washington, DC 20010-3017

Mailing address

110 Irving St NW
Suite NA 1177
Washington, DC 20010-3017
Phone (202) 877-4848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120614000499 DC Practitioner - Physician Assistant 1557525912 Reassigns benefits to 4 organizations
I20200805000617 VA Practitioner - Physician Assistant 1557525912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfax Radiological ConsultantsGroup PAC ID 8628970324, 151 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 698-4444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax Radiological Consultants CurrentSince Aug 10, 2020 Accepting new patients
Capitol Cardiology Associates, LLC Current Accepting new patients
Washington Hospital Center Corp CurrentSince Dec 1, 2013 Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Sep 15, 2014 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 28, 2024 Accepting new patients
Medlantic Healthcare Group Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

110 Irving St NW
Ste Na
Washington, DC 20010
Phone (202) 877-4848

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

1800 N Beauregard St
Alexandria, VA 22311
Phone (703) 933-2590

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

400 Fannon St
Fl 1
Alexandria, VA 22301
Phone (571) 472-5400

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

6355 Walker Ln
Alexandria, VA 22310
Phone (703) 664-7453

22505 Landmark Ct
Ashburn, VA 20148
Phone (571) 472-4300

43490 Yukon Dr
Ste 204
Ashburn, VA 20147
Phone (571) 665-6960

2722 Merrilee Dr
Ste 230
Fairfax, VA 22031

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

4315 Chain Bridge Rd
Fairfax, VA 22030
Phone (703) 205-9792

8081 Innovation Park Dr
Bldg B
Fairfax, VA 22031
Phone 703698444414708

8505 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (571) 226-5600

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

13575 Heathcote Blvd
Ste 200
Gainesville, VA 20155
Phone (703) 468-2590

224 Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

9321 Sanger St
Lorton, VA 22079
Phone (703) 982-8324

11901 Baron Cameron Ave
Reston, VA 20190
Phone (703) 464-6480

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1932475118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "address_2": "SUITE NA 1177",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017",
            "telephone_number": "202-877-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "address_2": "SUITE NA 1177",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017",
            "telephone_number": "202-877-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMCZYK",
        "first_name": "SANDRA",
        "middle_name": "MARINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-01",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.